J Korean Ophthalmol Soc.  1989 Dec;30(6):1025-1029.

A Case of Compressive Optic Neuropathy Caused by Sphenoid Sinus Mucocele

• Kim I
• Kim M
• Chung Y

Abstract

One of causes of compressive optic neuropathy is the sphenoid mucoceles which occur when the dranage of sinus is blocked. Mucocele of sphenoid sinus is rare, compressive to optic nerve and often misdiagnosed as pituitary tumor. We experienced a case of sphenoid sinus mucocele causing progressive visual disturbance, visual field defect, exophthalmos and headache. Plain skull and brain CT scan demonstrated sphenoid sinus mucocele. The visual acuity and visual field dramatically improved after surgery. Therefore early accurate detection and early surgical treatment are emphasized.

Keyword

Compressive Optic Neuropathy; Sphenoid mucocele; Visual disturbance; Exophthalmos; Brain C-T

MeSH Terms

Brain
Exophthalmos
Headache
Mucocele*
Optic Nerve
Optic Nerve Diseases*
Pituitary Neoplasms
Skull
Sphenoid Sinus*
Tomography, X-Ray Computed
Visual Acuity
Visual Fields